5-Subcontractors Statement of Satisfaction.pdf.pdf

This is a Subcontractor's Statement of Satisfaction form used by Hillsborough County, Florida in connection with the Northwest Transfer Station Community Collection Center (NWTS CCC) Floor Upgrades project. The form serves as an attestation document that must be attached by the General Contractor to each Application for Payment, beginning with the second application. The statement confirms that all monies due to subcontractors for work completed during the period covered by the prior Application for Payment have been paid in full. The form requires the subcontractor to provide their name, address, and title, and must be notarized before a Florida notary public. The document specifies that it applies only to subcontractors whose work appeared on the previous Application for Payment for which the General Contractor has received payment.

The form is a standard payment verification mechanism for the cast-in-place concrete work project estimated at $2,243,136.50. Completion of this sworn statement protects project payment flow by documenting that subcontractors have been satisfied with payment before the General Contractor receives subsequent payment applications. The notarization requirement, which can be completed through physical presence or online notarization, ensures the authenticity of the subcontractor's certification. This document is particularly relevant given the contract's Small Business Enterprise (SBE) participation goal of 5%, as it provides accountability for payments made to participating subcontractors throughout the project duration.